TANYA KELLAM Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011800

License Status

INACTIVE

Business

First Name

TANYA

Last Name

KELLAM

Business Name

TANYA KELLAM

Original Issue Date

02/23/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

VENTURA

State

Zip

93001

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009